
| First Name: | |
| Middle Name: | |
| Last Name: | |
| Rank: | |
| Address: | |
| City: | |
| Prov/State and Postal Code: | |
| Country: | |
| Home Tel: | |
| Work Tel: | |
| FAX: | |
| E-Mail: | |
| Web Page: | |
| Trade (MOC): (e.g. 411) | |
| Trade before (MOC): (e.g. Veh Tech) | |
| Retired from service: (yes or no) | |
| Dates of Service: (e.g. 1967-1994) | |
| Spouse: | |
| Apprentice: (yes or no) | |
| Apprentice platoon #: | |
| Comments: (255 characters max) Give us a few words about your career (e.g. postings) and present status. |
|
Submit form to: Larry Aubry
105 - 33 Ontario St.
Kingston, Ont.
K7L 5E3